Clone of Civic Awards Nomination Form

Civic Awards Nomination Form

Nomination deadline: February 26, 2026 at 5:00 p.m. For information about the Civic Awards Program visit www.northgrenville.ca/civicawards.

2. Nominee Information
Nominee's Name*

First NameLast Name
Nominee's Phone Number*

Area CodePhone Number
Nominee's E-mail Address*
Your relationship to the nominee*
Nominee's Address*

Street Address

Street Address Line 2

MunicipalityProvince

Postal Country
Is the Nominee aware of this Nomination?*

YesNo
Provide a brief description of why you are nominating this individual or group (max 250 words).*
Outline the activities and accomplishments of the volunteer or group. *
Provide examples of the impact their volunteer service has made in the community or in someone’s life. *
Describe how their volunteerism reflects the spirit of giving back and building a stronger community.*
Thank you!

Disclaimer: Personal information contained in this form is collected under authority of the Municipal Act RSO 1990,c.M.45, s.207 (45). Information collected will only be used to evaluate nominees and notify recipients of the Municipality of North Grenville Civic Awards Program.
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Civic Awards Nomination Form